Posted in In The Know Series, Insurance, Training

EmblemHealth HIP Access I plan-information

Traditionally, any provider that has dealt with EMBLEM HIP in the past knows that the plan requires a Referral for a visit with the Specialist. (Exception- if the Specialist provider belongs to the same IPA; ex. Montefiore IPA)

However, as of 01/01/2018 Emblem has released a new HIP plan: HIP Access I. This plan DOES NOT REQ a referral and has a $25 co-pay for the office visit.

Now it is your turn: have your office encountered any new plans from EMBLEM so far? Please share your experiences.



My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

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